EOB Review · Appeal Guidance

Turn a confusing EOB into a concrete action plan

We flag high-risk claim lines, explain why they matter, and help you prepare for insurer and provider conversations with more confidence.

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Built for transparency:

How It Works

From confusing EOB to clear action plan in four steps.

  1. Upload Your EOB

    Drop in your PDF, image, CSV, or XLSX. No account needed.

  2. We Triage the Claims

    High-risk lines surface first — sorted by urgency and potential dollar impact.

  3. Read Your Action Brief

    Plain-English breakdowns of every flag — no jargon, no guesswork.

  4. Escalate with Confidence

    Use your brief to call billing, contact your insurer, or draft an appeal.

What Your Action Brief Looks Like

Sample Output

This is a representative example of what the review surfaces. Your actual results depend on the EOB you upload.

Action Brief — EOB Review3 signals found · 2 high priority
  1. High PriorityEst. impact: ~$340

    Out-of-Network Misclassification

    The rendering provider appears in the insurer's network directory but the claim was processed at out-of-network rates, resulting in a higher patient share.

    Verify:Confirm network status with your insurer using the provider NPI before paying.
  2. High PriorityEst. impact: ~$185

    Duplicate Line Item

    Procedure code 99213 appears twice on the same date of service with identical rendering provider and billed amount.

    Verify:Request an itemized bill and confirm the charge appeared only once on the claim.
  3. Review NeededImpact unclear

    Deductible Accumulation Gap

    Year-to-date deductible applied on this EOB does not match the accumulation shown on your prior EOB from 34 days earlier.

    Verify:Request a current deductible accumulation statement from member services.

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Plain-English Results

We translate insurance jargon into clear action steps you can use today.

Frequently Asked Questions

What is an Explanation of Benefits (EOB)?

An EOB is a statement from your insurance company showing what was billed, what the plan paid, and what you owe. It is not a bill itself, but it tells you how your claim was processed.

What issues do you usually flag?

Common errors include duplicate charges, upcoding, unbundling, and out-of-network billing for in-network providers.

Does this work for hospital bills, not just insurance EOBs?

Our tool is optimized for EOB documents from your insurer. Itemized hospital bills in CSV format also work.

Is my medical information safe when I upload?

Yes. Files are sent over encrypted HTTPS, analyzed in memory, and not retained on our servers after processing.

What if my claim was denied, can I still appeal?

Yes. If we detect a denied claim on your EOB, we highlight it and can generate a customized appeal prep document.